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Case report of intestinal tuberculosis 6 years after simultaneous pancreas and kidney transplant.

Abstract：

:Tuberculosis (TB) is often difficult to diagnose in immunocompromised patients and occurs 20 to 74 times more frequently in recipients of solid organ transplants than in the general population. We present the case of a 40-year-old female immigrant from Mexico previously treated for latent TB who underwent a simultaneous pancreas and kidney transplant. She experienced 3 episodes of rejection and then presented with 4 months of nonspecific abdominal pain. She was ultimately diagnosed with disseminated TB presenting with intestinal perforation and pulmonary involvement. This case illustrates the need for clinicians to maintain a high index of suspicion for TB in transplant recipients, especially those previously treated for TB or rejection.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Ulloa JG,Parekh J,Hope C,Roll GR

doi

10.1016/j.transproceed.2014.03.007

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

2450-2

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(14)00189-4

journal_volume

46

pub_type

杂志文章

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